基于保护动机理论的护理干预模式对糖尿病患者足底压力的影响研究  

Effect of Nursing Intervention Mode Based on Protective Motivation Theory on plantar Pressure in Diabetic Patients

作　　者：唐雪 谭小燕[1] 黄丽甜 农月稠[1] 黄秀禄[1] 玉颜庆[1] 钟玫[1] TANG Xue;TAN Xiaoyan;HUANG Litian;NONG Yuechou;HUANG Xiulu;YU Yanqing;ZHONG Mei(Department of Hematology,Guangxi Zhuang Autonomous Region People's Hospital,Nanning,Guangxi Zhuang Au-tonomous Region,530021 China)

机构地区：[1]广西壮族自治区人民医院血液内科,广西南宁530021

出　　处：《中外医疗》2024年第6期180-182,187,共4页China & Foreign Medical Treatment

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201299)。

摘　　要：目的探讨基于保护动机理论的护理干预模式对糖尿病患者足底压力的影响。方法方便选取2020年7月—2021年7月广西壮族自治区人民医院足底压力异常的104例糖尿病患者作为研究对象,并采用随机数表法分为对照组(n=52,常规护理)和干预组(n=52,保护动机理论为指导的综合护理)。比较两组患者护理干预前、干预后3、6、12个月(T_(1)、T_(2)、T_(3)、T_(4))足底压力变化相关指标及干预后12个月内糖尿病足的发生情况。结果T_(2)、T_(3)及T_(4)时,干预组患者的足底峰值压力、足底冲量、足底剪切力、振动感觉阈值及血糖均显著低于对照组,差异有统计学意义(P均<0.05)。干预组患者的踝肱指数、足部保护知识、自护行为及自我效能均显著高于对照组,差异有统计学意义(P均<0.05)。干预组护理干预后12个月内糖尿病足的发生率显著低于对照组,差异有统计学意义(P<0.05)。结论对糖尿病患者实施基于保护动机理论的护理干预,可提高患者的足部知识、足部的自护能力及足部的自我效能,并可有效改善患者的足底压力、血糖水平及下肢血管状态,降低患者糖尿病足的发生率。Objective To explore the effect of nursing intervention mode based on protective motivation theory on plan-tar pressure in diabetic patients.Methods A total of one hundred and four diabetic patients with abnormal plantar pressure in Guangxi Zhuang Autonomous Region People's Hospital from July 2020 to July 2021 were conveniently se-lected as the study objects,and divided into control group(n=52,conventional nursing)and intervention group(n=52,comprehensive nursing guided by the theory of protective motivation)using random number table method.The relative indexes of plantar pressure before nursing intervention,3,6 and 12 months after nursing intervention(T_(1),T_(2),T_(3),T_(4))and the occurrence of diabetic foot within 12 months after intervention were compared between the two groups of pa-tients.Results At T_(2),T_(3),and T_(4),the peak plantar pressure,plantar impulse,plantar shear force,vibration sensation threshold,and blood glucose of the intervention group patients were significantly lower than those of the control group,and the differences were statistically significant(all P<0.05).The ankle brachial index,foot protection knowledge,self-care behavior,and self-efficacy of the intervention group patients were significantly higher than those of the con-trol group,and the differences were statistically significant(all P<0.05).The incidence of diabetes foot in the interven-tion group within 12 months after nursing intervention was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on protective motivation theory for diabetic patients can improve patients'foot knowledge,foot self-care ability and foot self-efficacy,effec-tively improve patients'plantar pressure,blood glucose level and lower extremity vascular status,and reduce the inci-dence of diabetic foot.

关 键 词：保护动机理论 糖尿病 足底压力 

分 类 号：R473[医药卫生—护理学]